Provider Demographics
NPI:1467221515
Name:PERFECT TOUCH DAY SUPPORT, LLC
Entity Type:Organization
Organization Name:PERFECT TOUCH DAY SUPPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KA'DEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:RIDDICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-809-1409
Mailing Address - Street 1:416 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-5236
Mailing Address - Country:US
Mailing Address - Phone:757-809-1409
Mailing Address - Fax:757-809-0107
Practice Address - Street 1:416 MARKET ST
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-5236
Practice Address - Country:US
Practice Address - Phone:757-809-1409
Practice Address - Fax:757-809-0107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care